Displaying 125531-125540 of 1611142 results.
ID:
125531
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125532
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125533
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125534
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125535
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125536
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125537
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125538
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125539
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125540
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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