Displaying 124251-124260 of 1611142 results.
ID:
124251
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124252
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124253
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124254
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124255
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124256
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124257
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124258
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
124259
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124260
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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