Displaying 130411-130420 of 1611142 results.
ID:
130411
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130412
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130413
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130414
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130415
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130416
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130417
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130418
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130419
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130420
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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