Displaying 123341-123350 of 1611142 results.
ID:
123341
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123342
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123343
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123344
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123345
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123346
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123347
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123348
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123349
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123350
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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