Displaying 125471-125480 of 1611142 results.
ID:
125471
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
125472
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125473
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125474
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125475
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125476
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125477
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125478
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125479
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125480
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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