Displaying 131951-131960 of 1611142 results.
ID:
131951
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131952
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131953
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131954
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131955
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131956
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131957
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131958
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131959
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131960
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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