Displaying 123691-123700 of 1611142 results.
ID:
123691
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123692
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123693
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123694
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123695
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123696
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123697
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123698
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123699
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123700
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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