Displaying 130741-130750 of 1611142 results.
ID:
130741
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130742
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130743
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130744
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130745
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130746
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130747
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130748
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130749
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130750
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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