Displaying 131211-131220 of 1611142 results.
ID:
131211
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131212
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131213
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131214
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131215
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131216
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131217
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131218
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131219
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131220
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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