Displaying 128101-128110 of 1611142 results.
ID:
128101
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128102
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128103
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128104
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128105
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128106
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128107
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128108
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128109
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128110
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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