Displaying 133891-133900 of 1611142 results.
ID:
133891
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133892
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133893
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133894
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133895
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133896
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133897
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133898
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133899
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133900
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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