Displaying 123101-123110 of 1611142 results.
ID:
123101
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123102
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123103
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123104
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123105
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123106
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123107
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123108
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123109
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123110
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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