Displaying 131741-131750 of 1611142 results.
ID:
131741
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131742
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131743
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131744
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131745
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131746
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131747
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131748
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131749
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131750
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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