Displaying 126311-126320 of 1611142 results.
ID:
126311
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126312
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126313
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099323
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126314
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126315
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126316
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126317
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126318
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126319
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126320
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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