Displaying 125921-125930 of 1611142 results.
ID:
125921
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125922
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125923
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125924
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125925
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125926
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125927
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125928
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125929
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125930
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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