Displaying 122461-122470 of 1611142 results.
ID:
122461
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122462
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122463
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122464
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122465
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122466
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122467
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122468
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122469
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122470
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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