Displaying 126381-126390 of 1611142 results.
ID:
126381
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126382
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126383
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126384
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126385
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126386
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126387
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126388
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126389
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126390
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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