Displaying 130251-130260 of 1611142 results.
ID:
130251
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130252
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130253
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130254
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130255
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130256
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130257
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130258
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130259
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130260
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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