Displaying 130801-130810 of 1611142 results.
ID:
130801
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130802
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130803
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130804
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130805
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130806
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130807
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130808
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130809
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130810
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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