Displaying 127721-127730 of 1611142 results.
ID:
127721
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127722
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127723
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127724
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127725
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127726
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127727
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127728
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127729
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127730
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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