Displaying 124901-124910 of 1611142 results.
ID:
124901
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124902
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124903
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124904
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124905
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124906
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124907
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124908
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124909
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124910
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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