Displaying 123021-123030 of 1611142 results.
ID:
123021
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
123022
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123023
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123024
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123025
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123026
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123027
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123028
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123029
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123030
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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