Displaying 131541-131550 of 1611142 results.
ID:
131541
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131542
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131543
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131544
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131545
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131546
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131547
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131548
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131549
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131550
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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