Displaying 121601-121610 of 1611142 results.
ID:
121601
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1539248
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121602
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121603
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121604
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121605
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121606
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121607
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121608
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121609
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121610
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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