Displaying 133681-133690 of 1611142 results.
ID:
133681
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133682
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133683
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133684
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133685
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133686
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133687
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133688
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133689
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133690
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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