Displaying 127731-127740 of 1611142 results.
ID:
127731
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127732
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127733
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127734
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127735
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127736
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127737
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127738
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127739
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127740
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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