Displaying 125931-125940 of 1611142 results.
ID:
125931
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125932
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125933
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125934
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125935
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125936
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125937
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125938
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
125939
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
125940
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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