Displaying 126011-126020 of 1611142 results.
ID:
126011
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126012
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126013
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126014
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126015
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126016
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126017
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
126018
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126019
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126020
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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