Displaying 125621-125630 of 1611142 results.
ID:
125621
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125622
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125623
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125624
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125625
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125626
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125627
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125628
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125629
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125630
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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