Displaying 125211-125220 of 1611142 results.
ID:
125211
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125212
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125213
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125214
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125215
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125216
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125217
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125218
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309889
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125219
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
745752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125220
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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