Displaying 131601-131610 of 1611142 results.
ID:
131601
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131602
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131603
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131604
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131605
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131606
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131607
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131608
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131609
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131610
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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