Displaying 124561-124570 of 1611142 results.
ID:
124561
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
124562
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
124563
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124564
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
124565
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124566
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124567
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124568
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124569
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124570
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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