Displaying 125081-125090 of 1611142 results.
ID:
125081
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125082
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125083
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125084
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125085
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125086
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125087
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125088
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125089
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125090
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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