Displaying 125451-125460 of 1611142 results.
ID:
125451
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125452
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125453
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125454
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125455
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125456
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125457
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125458
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125459
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125460
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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