Displaying 125571-125580 of 1611142 results.
ID:
125571
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125572
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125573
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125574
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125575
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125576
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125577
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125578
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125579
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125580
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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