Displaying 135001-135010 of 1611142 results.
ID:
135001
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135002
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135003
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135004
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135005
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135006
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135007
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135008
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135009
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135010
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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