Displaying 124401-124410 of 1611142 results.
ID:
124401
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124402
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124403
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124404
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124405
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124406
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124407
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124408
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124409
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124410
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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