Displaying 126281-126290 of 1611142 results.
ID:
126281
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126282
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126283
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126284
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126285
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126286
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126287
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126288
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126289
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126290
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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