Displaying 123961-123970 of 1611142 results.
ID:
123961
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123962
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123963
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123964
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123965
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123966
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123967
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123968
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123969
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123970
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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