Displaying 122591-122600 of 1611142 results.
ID:
122591
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122592
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122593
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122594
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122595
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122596
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
122597
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122598
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122599
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122600
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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