Displaying 133621-133630 of 1611142 results.
ID:
133621
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133622
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133623
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133624
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133625
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133626
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133627
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133628
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133629
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133630
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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