Displaying 125051-125060 of 1611142 results.
ID:
125051
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125052
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125053
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125054
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125055
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125056
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125057
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125058
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125059
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
125060
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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