Displaying 122661-122670 of 1611142 results.
ID:
122661
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122662
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122663
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122664
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122665
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122666
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122667
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122668
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122669
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122670
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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