Displaying 125391-125400 of 1611142 results.
ID:
125391
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125392
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125393
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125394
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125395
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125396
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125397
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125398
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125399
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125400
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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