Displaying 127701-127710 of 1611142 results.
ID:
127701
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127702
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127703
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127704
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127705
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127706
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127707
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127708
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127709
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127710
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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