Displaying 124821-124830 of 1611142 results.
ID:
124821
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124822
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124823
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124824
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124825
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124826
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124827
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124828
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124829
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124830
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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