Displaying 126231-126240 of 1611142 results.
ID:
126231
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126232
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126233
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126234
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126235
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126236
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126237
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
126238
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126239
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126240
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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