Displaying 120021-120030 of 1611142 results.
ID:
120021
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120022
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120023
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120024
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120025
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120026
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120027
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120028
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120029
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120030
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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