Displaying 128281-128290 of 1611142 results.
ID:
128281
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128282
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128283
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128284
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128285
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128286
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128287
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128288
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128289
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128290
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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