Displaying 126261-126270 of 1611142 results.
ID:
126261
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126262
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
126263
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126264
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126265
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
126266
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126267
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126268
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126269
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126270
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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