Displaying 122711-122720 of 1611142 results.
ID:
122711
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122712
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122713
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122714
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122715
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122716
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122717
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122718
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122719
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122720
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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