Displaying 122911-122920 of 1611142 results.
ID:
122911
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
122912
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
122913
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
122914
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122915
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122916
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122917
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122918
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122919
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
206417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122920
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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