Displaying 136041-136050 of 1611142 results.
ID:
136041
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136042
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136043
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136044
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136045
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136046
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136047
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136048
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136049
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136050
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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