Displaying 125231-125240 of 1611142 results.
ID:
125231
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1871459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125232
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1871469
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125233
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1871467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125234
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125235
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125236
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125237
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125238
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125239
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125240
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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