Displaying 122531-122540 of 1611142 results.
ID:
122531
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122532
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122533
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122534
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122535
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122536
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122537
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122538
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122539
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122540
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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