Displaying 122561-122570 of 1611142 results.
ID:
122561
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122562
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122563
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122564
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122565
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122566
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122567
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122568
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122569
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122570
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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