Displaying 124651-124660 of 1611142 results.
ID:
124651
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124652
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124653
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124654
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
124655
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124656
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124657
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
124658
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
124659
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
124660
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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