Displaying 124721-124730 of 1611142 results.
ID:
124721
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124722
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124723
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124724
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124725
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124726
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124727
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124728
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124729
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124730
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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