Displaying 124681-124690 of 1611142 results.
ID:
124681
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124682
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124683
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124684
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
124685
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124686
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124687
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124688
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124689
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124690
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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