Displaying 131691-131700 of 1611142 results.
ID:
131691
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131692
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131693
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131694
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131695
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131696
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131697
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131698
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131699
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131700
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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