Displaying 137091-137100 of 1611142 results.
ID:
137091
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137092
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137093
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137094
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137095
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137096
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137097
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137098
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137099
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137100
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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