Displaying 125521-125530 of 1611142 results.
ID:
125521
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125522
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125523
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125524
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125525
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125526
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125527
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125528
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125529
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125530
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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