Displaying 123731-123740 of 1611142 results.
ID:
123731
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123732
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
123733
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
123734
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
123735
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
123736
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123737
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123738
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123739
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123740
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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