Displaying 125491-125500 of 1611142 results.
ID:
125491
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125492
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125493
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125494
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125495
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125496
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125497
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125498
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125499
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125500
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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