Displaying 124441-124450 of 1611142 results.
ID:
124441
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124442
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124443
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124444
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124445
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124446
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124447
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124448
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124449
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124450
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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