Displaying 124321-124330 of 1611142 results.
ID:
124321
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124322
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124323
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124324
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124325
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124326
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124327
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124328
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124329
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124330
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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