Displaying 128111-128120 of 1611142 results.
ID:
128111
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128112
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128113
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128114
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128115
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128116
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128117
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128118
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128119
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128120
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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