Displaying 135371-135380 of 1611142 results.
ID:
135371
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135372
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135373
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135374
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135375
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135376
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135377
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135378
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135379
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135380
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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