Displaying 125561-125570 of 1611142 results.
ID:
125561
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125562
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125563
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125564
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125565
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125566
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125567
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125568
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125569
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125570
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
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