Displaying 128021-128030 of 1611142 results.
ID:
128021
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128022
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128023
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128024
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128025
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128026
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128027
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128028
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128029
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128030
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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