Displaying 126181-126190 of 1611142 results.
ID:
126181
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126182
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
126183
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
126184
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126185
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126186
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126187
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126188
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126189
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126190
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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