Displaying 123421-123430 of 1611142 results.
ID:
123421
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123422
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123423
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123424
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123425
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123426
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123427
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123428
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123429
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123430
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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