Displaying 124971-124980 of 1611142 results.
ID:
124971
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124972
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124973
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124974
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124975
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124976
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124977
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124978
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124979
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124980
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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