Displaying 125991-126000 of 1611142 results.
ID:
125991
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125992
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125993
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125994
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125995
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125996
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125997
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125998
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125999
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126000
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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