Displaying 127011-127020 of 1611142 results.
ID:
127011
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127012
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127013
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127014
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127015
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127016
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127017
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127018
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127019
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127020
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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