Displaying 135551-135560 of 1611142 results.
ID:
135551
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135552
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135553
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135554
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135555
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135556
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135557
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135558
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135559
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135560
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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