Displaying 127071-127080 of 1611142 results.
ID:
127071
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127072
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127073
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127074
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127075
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127076
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127077
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127078
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127079
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127080
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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