Displaying 123541-123550 of 1611142 results.
ID:
123541
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123542
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123543
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
123544
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
123545
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123546
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123547
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123548
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123549
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123550
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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