Displaying 129641-129650 of 1611142 results.
ID:
129641
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129642
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129643
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129644
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129645
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129646
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129647
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129648
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129649
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129650
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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