Displaying 124611-124620 of 1611142 results.
ID:
124611
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124612
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124613
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124614
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124615
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124616
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124617
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124618
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124619
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124620
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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