Displaying 121771-121780 of 1611142 results.
ID:
121771
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121772
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121773
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121774
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121775
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121776
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121777
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121778
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121779
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121780
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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