Displaying 123411-123420 of 1611142 results.
ID:
123411
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123412
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123413
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123414
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123415
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123416
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
123417
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
123418
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
123419
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
123420
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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