Displaying 123701-123710 of 1611142 results.
ID:
123701
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123702
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123703
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123704
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123705
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123706
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123707
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
123708
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123709
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123710
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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