Displaying 134931-134940 of 1611142 results.
ID:
134931
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134932
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134933
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134934
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134935
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134936
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134937
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134938
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134939
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134940
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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