Displaying 123321-123330 of 1611142 results.
ID:
123321
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123322
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123323
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123324
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123325
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123326
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123327
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123328
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123329
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123330
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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