Displaying 125821-125830 of 1611142 results.
ID:
125821
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125822
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125823
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125824
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125825
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125826
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125827
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125828
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125829
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125830
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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