Displaying 133011-133020 of 1611142 results.
ID:
133011
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133012
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133013
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133014
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133015
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133016
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133017
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133018
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133019
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133020
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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