Displaying 131081-131090 of 1611142 results.
ID:
131081
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131082
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131083
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131084
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131085
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131086
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131087
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131088
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131089
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131090
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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