Displaying 125331-125340 of 1611142 results.
ID:
125331
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125332
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125333
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125334
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125335
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125336
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125337
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125338
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125339
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125340
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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