Displaying 121421-121430 of 1611142 results.
ID:
121421
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121422
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121423
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121424
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121425
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121426
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121427
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121428
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121429
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121430
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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