Displaying 125381-125390 of 1611142 results.
ID:
125381
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125382
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125383
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125384
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125385
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125386
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125387
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125388
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125389
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125390
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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