Displaying 136931-136940 of 1611142 results.
ID:
136931
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136932
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136933
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136934
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136935
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136936
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136937
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136938
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136939
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136940
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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