Displaying 123891-123900 of 1611142 results.
ID:
123891
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123892
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123893
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123894
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123895
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123896
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123897
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123898
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123899
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123900
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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