Displaying 125421-125430 of 1611142 results.
ID:
125421
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125422
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125423
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
125424
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
125425
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
125426
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125427
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125428
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125429
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125430
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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