Displaying 134521-134530 of 1611142 results.
ID:
134521
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134522
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134523
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134524
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134525
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134526
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134527
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134528
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134529
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134530
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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