Displaying 125961-125970 of 1611142 results.
ID:
125961
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125962
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125963
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125964
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125965
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125966
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
125967
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125968
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125969
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125970
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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