Displaying 130991-131000 of 1611142 results.
ID:
130991
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130992
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
130993
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130994
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130995
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130996
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130997
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130998
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130999
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131000
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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