Displaying 124991-125000 of 1611142 results.
ID:
124991
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124992
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124993
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124994
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124995
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124996
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124997
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124998
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124999
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125000
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
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