Displaying 123041-123050 of 1611142 results.
ID:
123041
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123042
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123043
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123044
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123045
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123046
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123047
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123048
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123049
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123050
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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