Displaying 136571-136580 of 1611142 results.
ID:
136571
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136572
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136573
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136574
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136575
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136576
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136577
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136578
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136579
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136580
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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