Displaying 131731-131740 of 1611142 results.
ID:
131731
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131732
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131733
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131734
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131735
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131736
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131737
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131738
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131739
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131740
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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