Displaying 120461-120470 of 1611142 results.
ID:
120461
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120462
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120463
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120464
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120465
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120466
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120467
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120468
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120469
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120470
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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