Displaying 126341-126350 of 1611142 results.
ID:
126341
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126342
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126343
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126344
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126345
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126346
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126347
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
126348
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126349
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126350
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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