Displaying 123511-123520 of 1611142 results.
ID:
123511
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123512
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123513
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123514
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123515
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
999965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123516
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123517
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123518
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123519
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123520
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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