Displaying 126291-126300 of 1611142 results.
ID:
126291
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126292
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
126293
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
126294
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126295
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126296
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
126297
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
126298
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
126299
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126300
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1249631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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