Displaying 126431-126440 of 1611142 results.
ID:
126431
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126432
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126433
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126434
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126435
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126436
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126437
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126438
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126439
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126440
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
30
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