Displaying 124291-124300 of 1611142 results.
ID:
124291
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124292
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124293
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124294
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124295
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
124296
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
124297
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124298
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124299
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124300
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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