Displaying 125981-125990 of 1611142 results.
ID:
125981
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125982
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125983
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125984
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125985
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125986
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125987
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125988
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125989
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125990
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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