Displaying 122831-122840 of 1611142 results.
ID:
122831
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
122832
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122833
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
122834
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
122835
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122836
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122837
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122838
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122839
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122840
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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