Displaying 125101-125110 of 1611142 results.
ID:
125101
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125102
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125103
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125104
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125105
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125106
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125107
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125108
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125109
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125110
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
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