Displaying 128611-128620 of 1611142 results.
ID:
128611
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128612
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128613
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128614
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128615
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128616
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128617
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128618
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128619
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128620
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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