Displaying 125151-125160 of 1611142 results.
ID:
125151
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125152
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125153
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125154
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125155
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125156
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125157
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125158
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125159
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125160
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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