Displaying 128261-128270 of 1611142 results.
ID:
128261
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128262
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128263
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128264
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128265
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128266
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128267
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128268
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128269
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128270
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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