Displaying 124381-124390 of 1611142 results.
ID:
124381
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124382
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124383
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1372999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124384
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124385
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124386
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124387
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124388
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124389
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124390
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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