Displaying 131931-131940 of 1611142 results.
ID:
131931
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131932
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131933
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131934
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131935
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131936
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131937
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131938
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131939
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131940
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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