Displaying 127861-127870 of 1611142 results.
ID:
127861
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127862
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127863
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127864
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127865
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127866
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127867
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127868
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127869
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127870
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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