Displaying 124141-124150 of 1611142 results.
ID:
124141
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124142
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
124143
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124144
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124145
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124146
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124147
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124148
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
124149
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124150
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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