Displaying 134821-134830 of 1611142 results.
ID:
134821
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134822
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134823
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134824
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134825
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134826
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134827
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134828
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134829
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134830
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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