Displaying 125911-125920 of 1611142 results.
ID:
125911
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
125912
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125913
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125914
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125915
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125916
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
125917
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125918
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125919
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125920
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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