Displaying 137461-137470 of 1611142 results.
ID:
137461
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137462
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137463
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137464
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137465
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137466
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137467
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137468
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137469
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137470
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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