Displaying 135381-135390 of 1611142 results.
ID:
135381
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135382
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135383
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135384
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135385
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135386
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135387
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135388
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135389
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135390
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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