Displaying 119701-119710 of 1611142 results.
ID:
119701
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119702
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119703
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119704
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119705
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119706
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119707
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119708
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119709
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119710
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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