Displaying 124921-124930 of 1611142 results.
ID:
124921
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124922
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124923
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124924
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124925
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124926
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124927
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124928
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124929
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124930
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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