Displaying 123611-123620 of 1611142 results.
ID:
123611
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123612
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123613
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123614
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123615
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123616
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123617
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123618
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123619
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123620
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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