Displaying 123781-123790 of 1611142 results.
ID:
123781
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123782
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123783
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123784
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123785
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123786
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123787
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123788
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123789
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123790
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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