Displaying 124911-124920 of 1611142 results.
ID:
124911
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124912
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124913
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124914
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124915
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124916
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124917
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124918
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124919
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124920
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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