Displaying 125291-125300 of 1611142 results.
ID:
125291
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125292
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125293
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125294
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125295
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125296
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125297
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125298
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125299
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125300
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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