Displaying 137421-137430 of 1611142 results.
ID:
137421
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137422
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137423
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137424
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137425
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137426
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137427
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137428
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137429
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137430
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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