Displaying 122771-122780 of 1611142 results.
ID:
122771
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122772
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122773
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122774
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122775
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122776
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122777
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122778
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122779
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
122780
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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