Displaying 137301-137310 of 1611142 results.
ID:
137301
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137302
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137303
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137304
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137305
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137306
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137307
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137308
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137309
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137310
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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