Displaying 125401-125410 of 1611142 results.
ID:
125401
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125402
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125403
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125404
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125405
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125406
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125407
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125408
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125409
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125410
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966204
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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