Displaying 126391-126400 of 1611142 results.
ID:
126391
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126392
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126393
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
126394
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
126395
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
126396
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
126397
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
126398
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126399
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
126400
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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