Displaying 126021-126030 of 1611142 results.
ID:
126021
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126022
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126023
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126024
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
126025
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126026
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126027
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126028
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126029
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126030
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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