Displaying 125681-125690 of 1611142 results.
ID:
125681
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125682
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
125683
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125684
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125685
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125686
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125687
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125688
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125689
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125690
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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