Displaying 121171-121180 of 1611142 results.
ID:
121171
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121172
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121173
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121174
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121175
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121176
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121177
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121178
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121179
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121180
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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