Displaying 131851-131860 of 1611142 results.
ID:
131851
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131852
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131853
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131854
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131855
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131856
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131857
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131858
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131859
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131860
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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