Displaying 134191-134200 of 1611142 results.
ID:
134191
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134192
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134193
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134194
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134195
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134196
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134197
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134198
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134199
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134200
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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