Displaying 132831-132840 of 1611142 results.
ID:
132831
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132832
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132833
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132834
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132835
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132836
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132837
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132838
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132839
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132840
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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