Displaying 129281-129290 of 1611142 results.
ID:
129281
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129282
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129283
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129284
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129285
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129286
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129287
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129288
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129289
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129290
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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