Displaying 39121-39130 of 1611142 results.
ID:
39121
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39122
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39123
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39124
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39125
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39126
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39127
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39128
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39129
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39130
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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