Displaying 128581-128590 of 1611142 results.
ID:
128581
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128582
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128583
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128584
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128585
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128586
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128587
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128588
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128589
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128590
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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