Displaying 122901-122910 of 1611142 results.
ID:
122901
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
122902
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
122903
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122904
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
122905
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
122906
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
122907
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
122908
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122909
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122910
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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