Displaying 134871-134880 of 1611142 results.
ID:
134871
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134872
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134873
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134874
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134875
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134876
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134877
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134878
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134879
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134880
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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