Displaying 137551-137560 of 1611142 results.
ID:
137551
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137552
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137553
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137554
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137555
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137556
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137557
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137558
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137559
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137560
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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