Displaying 124201-124210 of 1611142 results.
ID:
124201
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
902741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124202
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
902729
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124203
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124204
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124205
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124206
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
124207
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124208
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124209
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124210
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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