Displaying 122681-122690 of 1611142 results.
ID:
122681
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122682
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122683
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122684
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122685
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122686
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122687
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122688
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122689
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122690
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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