Displaying 130081-130090 of 1611142 results.
ID:
130081
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130082
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130083
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130084
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130085
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130086
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130087
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130088
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130089
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130090
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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