Displaying 124671-124680 of 1611142 results.
ID:
124671
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124672
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124673
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124674
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
124675
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
124676
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
124677
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124678
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124679
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124680
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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