Displaying 121751-121760 of 1611142 results.
ID:
121751
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121752
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121753
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121754
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121755
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121756
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121757
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121758
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121759
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121760
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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