Displaying 122761-122770 of 1611142 results.
ID:
122761
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
122762
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
122763
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
122764
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
122765
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
122766
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122767
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122768
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122769
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122770
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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