Displaying 124121-124130 of 1611142 results.
ID:
124121
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124122
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207249
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124123
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124124
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124125
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124126
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124127
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124128
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124129
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124130
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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