Displaying 124871-124880 of 1611142 results.
ID:
124871
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124872
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124873
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
124874
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124875
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
124876
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
124877
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
124878
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124879
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124880
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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