Displaying 124131-124140 of 1611142 results.
ID:
124131
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124132
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124133
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124134
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124135
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124136
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124137
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124138
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124139
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310992
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124140
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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