Displaying 125071-125080 of 1611142 results.
ID:
125071
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125072
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125073
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125074
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125075
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125076
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125077
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125078
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125079
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125080
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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