Displaying 137281-137290 of 1611142 results.
ID:
137281
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137282
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137283
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137284
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137285
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137286
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137287
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137288
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137289
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137290
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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