Displaying 124011-124020 of 1611142 results.
ID:
124011
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124012
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124013
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124014
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124015
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124016
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124017
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124018
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124019
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124020
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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