Displaying 122791-122800 of 1611142 results.
ID:
122791
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122792
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122793
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122794
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122795
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122796
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122797
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122798
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
122799
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122800
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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