Displaying 135941-135950 of 1611142 results.
ID:
135941
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135942
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135943
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135944
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135945
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135946
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135947
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135948
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135949
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135950
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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