Displaying 128861-128870 of 1611142 results.
ID:
128861
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128862
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128863
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128864
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128865
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128866
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128867
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128868
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128869
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128870
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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