Displaying 122691-122700 of 1611142 results.
ID:
122691
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122692
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122693
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122694
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122695
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122696
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
122697
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122698
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122699
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
122700
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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