Displaying 125631-125640 of 1611142 results.
ID:
125631
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
125632
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
125633
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
125634
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
125635
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
125636
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125637
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125638
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125639
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125640
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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