Displaying 130201-130210 of 1611142 results.
ID:
130201
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130202
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130203
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130204
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130205
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130206
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130207
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130208
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130209
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130210
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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