Displaying 125881-125890 of 1611142 results.
ID:
125881
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125882
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125883
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125884
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125885
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125886
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125887
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125888
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125889
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125890
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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