Displaying 128601-128610 of 1611142 results.
ID:
128601
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128602
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128603
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128604
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128605
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128606
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128607
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128608
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128609
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128610
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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