Displaying 127461-127470 of 1611142 results.
ID:
127461
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127462
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127463
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127464
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127465
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127466
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127467
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127468
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127469
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127470
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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