Displaying 132921-132930 of 1611142 results.
ID:
132921
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132922
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132923
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132924
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132925
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132926
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132927
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132928
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132929
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132930
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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