Displaying 124461-124470 of 1611142 results.
ID:
124461
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124462
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124463
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124464
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124465
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124466
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124467
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124468
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124469
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124470
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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