Displaying 123331-123340 of 1611142 results.
ID:
123331
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123332
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123333
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123334
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123335
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123336
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123337
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123338
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123339
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123340
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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