Displaying 125111-125120 of 1611142 results.
ID:
125111
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125112
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125113
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125114
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
125115
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
125116
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
125117
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125118
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125119
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125120
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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