Displaying 125541-125550 of 1611142 results.
ID:
125541
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125542
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125543
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125544
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125545
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125546
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125547
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125548
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125549
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125550
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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