Displaying 124341-124350 of 1611142 results.
ID:
124341
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124342
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124343
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124344
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124345
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124346
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124347
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124348
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124349
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124350
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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