Displaying 124351-124360 of 1611142 results.
ID:
124351
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124352
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124353
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124354
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124355
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124356
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124357
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124358
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124359
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124360
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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