Displaying 131761-131770 of 1611142 results.
ID:
131761
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131762
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131763
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131764
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131765
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131766
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131767
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131768
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131769
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131770
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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