Displaying 135541-135550 of 1611142 results.
ID:
135541
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135542
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135543
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135544
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135545
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135546
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135547
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135548
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135549
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135550
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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