Displaying 123531-123540 of 1611142 results.
ID:
123531
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123532
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123533
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
123534
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123535
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123536
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123537
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123538
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123539
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123540
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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