Displaying 122731-122740 of 1611142 results.
ID:
122731
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
122732
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
122733
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122734
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1249631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122735
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122736
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122737
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122738
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122739
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122740
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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