Displaying 129141-129150 of 1611142 results.
ID:
129141
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129142
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129143
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129144
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129145
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129146
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129147
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129148
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129149
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129150
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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