Displaying 131461-131470 of 1611142 results.
ID:
131461
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131462
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131463
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131464
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131465
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131466
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131467
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131468
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
131469
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131470
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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