Displaying 125441-125450 of 1611142 results.
ID:
125441
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125442
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125443
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125444
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125445
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125446
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125447
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125448
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125449
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125450
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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