Displaying 124801-124810 of 1611142 results.
ID:
124801
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124802
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124803
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124804
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124805
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124806
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124807
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124808
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124809
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124810
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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