Displaying 125501-125510 of 1611142 results.
ID:
125501
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125502
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125503
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125504
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125505
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125506
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125507
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125508
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125509
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125510
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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