Displaying 130471-130480 of 1611142 results.
ID:
130471
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130472
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130473
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130474
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130475
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130476
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130477
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130478
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130479
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130480
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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