Displaying 125191-125200 of 1611142 results.
ID:
125191
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125192
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125193
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125194
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125195
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125196
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125197
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125198
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125199
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125200
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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