Displaying 125721-125730 of 1611142 results.
ID:
125721
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125722
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125723
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125724
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125725
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125726
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125727
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125728
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125729
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125730
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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