Displaying 125731-125740 of 1611142 results.
ID:
125731
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125732
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125733
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125734
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125735
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125736
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125737
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125738
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
125739
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
125740
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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