Displaying 123281-123290 of 1611142 results.
ID:
123281
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123282
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123283
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
123284
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123285
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123286
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123287
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123288
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123289
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123290
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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