Displaying 122861-122870 of 1611142 results.
ID:
122861
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122862
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122863
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122864
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122865
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122866
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122867
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122868
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122869
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122870
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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