Displaying 128411-128420 of 1611142 results.
ID:
128411
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128412
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128413
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128414
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128415
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128416
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128417
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128418
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128419
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128420
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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