Displaying 129961-129970 of 1611142 results.
ID:
129961
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129962
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129963
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129964
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129965
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129966
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129967
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129968
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129969
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129970
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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