Displaying 122701-122710 of 1611142 results.
ID:
122701
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122702
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122703
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122704
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122705
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122706
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122707
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122708
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122709
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122710
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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