Displaying 124751-124760 of 1611142 results.
ID:
124751
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124752
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124753
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124754
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124755
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124756
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124757
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124758
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124759
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124760
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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