Displaying 125481-125490 of 1611142 results.
ID:
125481
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125482
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125483
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125484
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125485
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
125486
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
125487
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125488
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125489
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125490
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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