Displaying 131831-131840 of 1611142 results.
ID:
131831
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131832
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131833
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131834
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131835
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131836
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131837
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131838
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131839
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131840
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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