Displaying 126641-126650 of 1611142 results.
ID:
126641
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126642
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126643
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126644
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126645
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126646
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126647
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126648
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126649
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126650
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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