Displaying 124531-124540 of 1611142 results.
ID:
124531
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124532
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124533
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124534
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124535
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124536
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124537
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124538
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124539
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124540
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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