Displaying 125431-125440 of 1611142 results.
ID:
125431
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125432
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125433
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125434
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125435
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125436
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125437
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125438
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125439
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125440
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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