Displaying 125861-125870 of 1611142 results.
ID:
125861
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125862
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125863
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125864
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125865
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125866
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125867
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125868
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125869
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125870
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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