Displaying 134671-134680 of 1611142 results.
ID:
134671
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134672
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134673
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134674
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134675
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134676
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134677
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134678
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134679
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134680
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
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