Displaying 124501-124510 of 1611142 results.
ID:
124501
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124502
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124503
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124504
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124505
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124506
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124507
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124508
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124509
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
30
ID:
124510
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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