Displaying 124881-124890 of 1611142 results.
ID:
124881
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124882
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124883
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124884
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124885
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124886
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124887
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124888
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124889
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124890
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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