Displaying 122161-122170 of 1611142 results.
ID:
122161
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122162
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122163
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122164
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122165
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122166
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122167
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122168
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122169
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122170
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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