Displaying 123351-123360 of 1611142 results.
ID:
123351
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123352
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123353
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123354
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123355
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123356
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
123357
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
123358
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123359
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123360
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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