Displaying 123621-123630 of 1611142 results.
ID:
123621
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123622
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123623
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123624
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123625
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123626
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123627
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123628
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123629
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123630
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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