Displaying 120751-120760 of 1611142 results.
ID:
120751
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120752
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120753
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120754
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213263
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120755
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120756
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120757
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120758
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120759
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120760
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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