Displaying 136361-136370 of 1611142 results.
ID:
136361
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136362
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136363
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136364
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136365
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136366
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136367
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136368
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136369
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136370
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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