Displaying 134651-134660 of 1611142 results.
ID:
134651
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134652
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134653
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134654
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134655
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134656
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134657
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134658
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134659
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134660
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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