Displaying 133751-133760 of 1611142 results.
ID:
133751
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133752
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133753
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133754
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133755
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133756
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133757
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133758
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133759
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133760
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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