Displaying 123051-123060 of 1611142 results.
ID:
123051
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123052
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123053
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123054
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123055
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123056
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123057
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123058
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123059
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123060
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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