Displaying 131-140 of 1611142 results.
ID:
131
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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