Displaying 126591-126600 of 1611142 results.
ID:
126591
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126592
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126593
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126594
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126595
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126596
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126597
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126598
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126599
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126600
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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