Displaying 132001-132010 of 1611142 results.
ID:
132001
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132002
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132003
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132004
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132005
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132006
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132007
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132008
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132009
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132010
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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