Displaying 122551-122560 of 1611142 results.
ID:
122551
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122552
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122553
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122554
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122555
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122556
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122557
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122558
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122559
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122560
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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