Displaying 125201-125210 of 1611142 results.
ID:
125201
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125202
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125203
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125204
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125205
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125206
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125207
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125208
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125209
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125210
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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