Displaying 125091-125100 of 1611142 results.
ID:
125091
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125092
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125093
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125094
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125095
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125096
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125097
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125098
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125099
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125100
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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