Displaying 137401-137410 of 1611142 results.
ID:
137401
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137402
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137403
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137404
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137405
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137406
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137407
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137408
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137409
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137410
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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