Displaying 132421-132430 of 1611142 results.
ID:
132421
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132422
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132423
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132424
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132425
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132426
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132427
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132428
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132429
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132430
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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