Displaying 131161-131170 of 1611142 results.
ID:
131161
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131162
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131163
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131164
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131165
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131166
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131167
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131168
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131169
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131170
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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