Displaying 135281-135290 of 1611142 results.
ID:
135281
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135282
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135283
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135284
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135285
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135286
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135287
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135288
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135289
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135290
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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