Displaying 122621-122630 of 1611142 results.
ID:
122621
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122622
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122623
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122624
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122625
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122626
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122627
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122628
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122629
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122630
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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