Displaying 124851-124860 of 1611142 results.
ID:
124851
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124852
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124853
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124854
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124855
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124856
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124857
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124858
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124859
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124860
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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