Displaying 130861-130870 of 1611142 results.
ID:
130861
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130862
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130863
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130864
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130865
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130866
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130867
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130868
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130869
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130870
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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