Displaying 117951-117960 of 1611142 results.
ID:
117951
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117952
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117953
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117954
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117955
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117956
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117957
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117958
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117959
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117960
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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