Displaying 126251-126260 of 1611142 results.
ID:
126251
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126252
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126253
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126254
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126255
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126256
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126257
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126258
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126259
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126260
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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