Displaying 133191-133200 of 1611142 results.
ID:
133191
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133192
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133193
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133194
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133195
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133196
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133197
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133198
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133199
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133200
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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