Displaying 127451-127460 of 1611142 results.
ID:
127451
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127452
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127453
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127454
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127455
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127456
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127457
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127458
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127459
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127460
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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