Displaying 123921-123930 of 1611142 results.
ID:
123921
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123922
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123923
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123924
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123925
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123926
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123927
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123928
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123929
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123930
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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