Displaying 135981-135990 of 1611142 results.
ID:
135981
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135982
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135983
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135984
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135985
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135986
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135987
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135988
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135989
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135990
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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