Displaying 131421-131430 of 1611142 results.
ID:
131421
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131422
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131423
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131424
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131425
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131426
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131427
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131428
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131429
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131430
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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