Displaying 122541-122550 of 1611142 results.
ID:
122541
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122542
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122543
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122544
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122545
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122546
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122547
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122548
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122549
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122550
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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