Displaying 124731-124740 of 1611142 results.
ID:
124731
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124732
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124733
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124734
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124735
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124736
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124737
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124738
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124739
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124740
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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