Displaying 126331-126340 of 1611142 results.
ID:
126331
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
126332
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126333
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126334
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126335
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126336
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126337
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126338
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126339
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126340
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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