Displaying 125941-125950 of 1611142 results.
ID:
125941
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125942
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125943
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125944
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125945
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125946
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125947
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125948
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125949
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125950
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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