Displaying 119481-119490 of 1611142 results.
ID:
119481
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119482
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119483
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119484
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119485
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119486
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119487
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119488
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119489
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119490
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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