Displaying 123311-123320 of 1611142 results.
ID:
123311
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123312
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
123313
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123314
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123315
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123316
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123317
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123318
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123319
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123320
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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