Displaying 123401-123410 of 1611142 results.
ID:
123401
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123402
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123403
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123404
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123405
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123406
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123407
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123408
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123409
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123410
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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