Displaying 133541-133550 of 1611142 results.
ID:
133541
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133542
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133543
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133544
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133545
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133546
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133547
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133548
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133549
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133550
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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