Displaying 125711-125720 of 1611142 results.
ID:
125711
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125712
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125713
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125714
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
125715
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
125716
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
125717
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
125718
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125719
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125720
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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