Displaying 128071-128080 of 1611142 results.
ID:
128071
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128072
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128073
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128074
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128075
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128076
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128077
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128078
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128079
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128080
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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