Displaying 122431-122440 of 1611142 results.
ID:
122431
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122432
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122433
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122434
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122435
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122436
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122437
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122438
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122439
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122440
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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