Displaying 132671-132680 of 1611142 results.
ID:
132671
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132672
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132673
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132674
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132675
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132676
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132677
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132678
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132679
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132680
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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