Displaying 125671-125680 of 1611142 results.
ID:
125671
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
125672
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125673
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125674
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125675
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125676
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125677
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125678
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125679
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125680
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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