Displaying 137111-137120 of 1611142 results.
ID:
137111
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137112
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137113
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137114
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137115
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137116
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137117
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137118
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137119
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137120
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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