Displaying 122051-122060 of 1611142 results.
ID:
122051
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122052
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122053
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122054
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122055
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122056
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122057
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122058
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122059
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122060
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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