Displaying 123881-123890 of 1611142 results.
ID:
123881
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123882
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123883
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123884
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123885
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123886
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123887
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123888
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123889
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123890
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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