Displaying 121761-121770 of 1611142 results.
ID:
121761
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121762
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121763
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121764
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121765
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121766
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121767
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121768
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121769
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121770
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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