Displaying 124261-124270 of 1611142 results.
ID:
124261
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124262
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124263
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124264
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124265
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124266
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124267
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124268
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124269
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124270
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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