Displaying 126031-126040 of 1611142 results.
ID:
126031
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126032
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126033
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126034
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126035
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126036
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126037
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126038
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126039
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126040
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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