Displaying 134101-134110 of 1611142 results.
ID:
134101
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134102
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134103
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134104
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134105
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134106
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134107
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134108
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134109
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134110
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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