Displaying 137161-137170 of 1611142 results.
ID:
137161
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137162
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137163
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137164
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137165
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137166
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137167
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137168
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137169
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137170
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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