Displaying 123951-123960 of 1611142 results.
ID:
123951
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123952
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
380
Qty Limit Days:
30
ID:
123953
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123954
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
20
ID:
123955
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123956
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123957
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
123958
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123959
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123960
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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