Displaying 127261-127270 of 1611142 results.
ID:
127261
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127262
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127263
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127264
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127265
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127266
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127267
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127268
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127269
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127270
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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