Displaying 137151-137160 of 1611142 results.
ID:
137151
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137152
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137153
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137154
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137155
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137156
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137157
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137158
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137159
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137160
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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