Displaying 122671-122680 of 1611142 results.
ID:
122671
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
122672
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122673
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122674
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122675
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122676
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122677
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122678
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122679
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122680
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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