Displaying 124041-124050 of 1611142 results.
ID:
124041
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124042
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
124043
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124044
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124045
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124046
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124047
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124048
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124049
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124050
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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