Displaying 128761-128770 of 1611142 results.
ID:
128761
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128762
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128763
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128764
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128765
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128766
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128767
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128768
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128769
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128770
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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