Displaying 123941-123950 of 1611142 results.
ID:
123941
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123942
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123943
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123944
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123945
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123946
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123947
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123948
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123949
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123950
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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