Displaying 125031-125040 of 1611142 results.
ID:
125031
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125032
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125033
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125034
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
125035
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125036
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125037
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125038
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125039
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125040
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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