Displaying 122601-122610 of 1611142 results.
ID:
122601
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122602
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122603
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122604
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122605
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122606
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122607
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122608
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122609
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122610
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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