Displaying 123381-123390 of 1611142 results.
ID:
123381
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
123382
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123383
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123384
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
123385
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123386
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123387
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123388
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123389
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123390
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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