Displaying 125511-125520 of 1611142 results.
ID:
125511
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125512
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125513
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125514
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125515
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125516
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125517
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125518
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125519
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125520
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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