Displaying 123001-123010 of 1611142 results.
ID:
123001
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123002
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123003
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123004
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123005
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123006
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123007
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123008
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123009
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123010
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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