Displaying 135251-135260 of 1611142 results.
ID:
135251
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135252
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135253
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135254
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135255
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135256
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135257
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135258
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135259
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135260
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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