Displaying 122871-122880 of 1611142 results.
ID:
122871
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122872
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122873
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122874
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122875
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
30
ID:
122876
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122877
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122878
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122879
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122880
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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