Displaying 121371-121380 of 1611142 results.
ID:
121371
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121372
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121373
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121374
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121375
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121376
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121377
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121378
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121379
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121380
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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