Displaying 122581-122590 of 1611142 results.
ID:
122581
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122582
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122583
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122584
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
122585
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
122586
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
122587
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122588
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122589
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122590
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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