Displaying 131431-131440 of 1611142 results.
ID:
131431
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131432
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131433
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131434
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131435
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131436
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131437
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131438
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131439
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131440
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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