Displaying 130071-130080 of 1611142 results.
ID:
130071
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130072
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130073
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130074
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130075
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130076
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130077
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130078
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130079
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130080
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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