Displaying 124331-124340 of 1611142 results.
ID:
124331
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124332
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124333
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124334
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124335
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124336
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124337
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124338
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124339
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124340
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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