Displaying 118261-118270 of 1611142 results.
ID:
118261
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118262
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118263
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118264
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118265
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118266
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118267
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118268
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118269
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118270
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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