Displaying 131411-131420 of 1611142 results.
ID:
131411
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131412
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131413
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131414
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131415
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131416
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131417
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131418
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131419
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131420
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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