Displaying 124411-124420 of 1611142 results.
ID:
124411
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124412
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124413
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124414
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124415
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124416
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124417
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124418
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124419
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124420
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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