Displaying 123211-123220 of 1611142 results.
ID:
123211
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
123212
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
123213
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
123214
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123215
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123216
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123217
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123218
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
123219
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
123220
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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