Displaying 129921-129930 of 1611142 results.
ID:
129921
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129922
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129923
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129924
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129925
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129926
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129927
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129928
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129929
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129930
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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