Displaying 129311-129320 of 1611142 results.
ID:
129311
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129312
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129313
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129314
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129315
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129316
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129317
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129318
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129319
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129320
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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