Displaying 124211-124220 of 1611142 results.
ID:
124211
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124212
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124213
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124214
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124215
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124216
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124217
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124218
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124219
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124220
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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