Displaying 120441-120450 of 1611142 results.
ID:
120441
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120442
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120443
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120444
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120445
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120446
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120447
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120448
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120449
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120450
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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