Displaying 130001-130010 of 1611142 results.
ID:
130001
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130002
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130003
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130004
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130005
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130006
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130007
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130008
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130009
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130010
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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