Displaying 123661-123670 of 1611142 results.
ID:
123661
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123662
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123663
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123664
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123665
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123666
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123667
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123668
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123669
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123670
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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