Displaying 135011-135020 of 1611142 results.
ID:
135011
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135012
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135013
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135014
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135015
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135016
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135017
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135018
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135019
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135020
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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