Displaying 131801-131810 of 1611142 results.
ID:
131801
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131802
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131803
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131804
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131805
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131806
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131807
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131808
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131809
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131810
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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