Displaying 123711-123720 of 1611142 results.
ID:
123711
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
123712
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123713
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123714
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123715
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123716
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
123717
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123718
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123719
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
123720
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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