Displaying 124951-124960 of 1611142 results.
ID:
124951
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124952
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124953
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124954
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124955
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124956
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124957
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124958
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124959
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124960
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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