Displaying 124431-124440 of 1611142 results.
ID:
124431
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124432
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124433
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124434
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124435
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124436
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124437
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124438
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124439
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124440
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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