Displaying 123481-123490 of 1611142 results.
ID:
123481
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123482
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123483
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123484
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
123485
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123486
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123487
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123488
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123489
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123490
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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