Displaying 122381-122390 of 1611142 results.
ID:
122381
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122382
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122383
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122384
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122385
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122386
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122387
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122388
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122389
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122390
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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