Displaying 129201-129210 of 1611142 results.
ID:
129201
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129202
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129203
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129204
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129205
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129206
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129207
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129208
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129209
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129210
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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