Displaying 134861-134870 of 1611142 results.
ID:
134861
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134862
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134863
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134864
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134865
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134866
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134867
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134868
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134869
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134870
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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