Displaying 122631-122640 of 1611142 results.
ID:
122631
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122632
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122633
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122634
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122635
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122636
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122637
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122638
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122639
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122640
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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