Displaying 130581-130590 of 1611142 results.
ID:
130581
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130582
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130583
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130584
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130585
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130586
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130587
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130588
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130589
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130590
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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