Displaying 124601-124610 of 1611142 results.
ID:
124601
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124602
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124603
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124604
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124605
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124606
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124607
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
124608
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124609
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124610
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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