Displaying 126001-126010 of 1611142 results.
ID:
126001
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126002
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126003
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126004
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126005
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126006
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126007
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126008
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126009
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126010
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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