Displaying 122981-122990 of 1611142 results.
ID:
122981
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122982
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122983
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122984
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122985
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122986
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122987
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
122988
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122989
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122990
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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