Displaying 129951-129960 of 1611142 results.
ID:
129951
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129952
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129953
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129954
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129955
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129956
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129957
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129958
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129959
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129960
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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