Displaying 126411-126420 of 1611142 results.
ID:
126411
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126412
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126413
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126414
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126415
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1926331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126416
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126417
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126418
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126419
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126420
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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