Displaying 137411-137420 of 1611142 results.
ID:
137411
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137412
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137413
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137414
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137415
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137416
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137417
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137418
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137419
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137420
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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