Displaying 124961-124970 of 1611142 results.
ID:
124961
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124962
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124963
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124964
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124965
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124966
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124967
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
124968
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
124969
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124970
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
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