Displaying 126151-126160 of 1611142 results.
ID:
126151
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
126152
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
126153
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126154
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126155
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126156
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126157
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126158
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126159
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126160
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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