Displaying 133881-133890 of 1611142 results.
ID:
133881
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133882
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133883
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133884
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133885
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133886
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133887
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133888
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133889
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133890
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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