Displaying 133271-133280 of 1611142 results.
ID:
133271
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133272
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133273
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133274
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133275
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133276
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133277
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133278
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133279
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133280
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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