Displaying 123291-123300 of 1611142 results.
ID:
123291
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
123292
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
123293
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
123294
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
123295
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123296
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123297
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123298
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123299
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123300
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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