Displaying 134661-134670 of 1611142 results.
ID:
134661
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134662
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134663
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134664
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134665
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134666
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134667
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134668
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134669
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134670
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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