Displaying 135331-135340 of 1611142 results.
ID:
135331
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135332
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135333
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135334
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135335
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135336
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135337
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135338
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135339
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966194
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135340
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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