Displaying 128961-128970 of 1611142 results.
ID:
128961
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128962
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128963
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128964
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128965
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128966
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128967
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128968
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128969
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128970
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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