Displaying 122971-122980 of 1611142 results.
ID:
122971
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122972
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122973
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122974
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122975
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122976
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122977
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122978
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122979
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122980
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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