Displaying 131701-131710 of 1611142 results.
ID:
131701
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131702
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131703
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131704
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131705
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131706
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131707
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131708
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131709
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131710
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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