Displaying 123111-123120 of 1611142 results.
ID:
123111
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123112
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123113
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123114
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123115
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123116
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123117
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123118
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123119
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123120
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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