Displaying 117271-117280 of 1611142 results.
ID:
117271
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117272
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117273
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117274
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117275
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117276
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117277
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117278
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117279
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117280
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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