Displaying 125131-125140 of 1611142 results.
ID:
125131
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125132
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125133
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125134
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125135
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
125136
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
125137
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
125138
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125139
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125140
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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