Displaying 137761-137770 of 1611142 results.
ID:
137761
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137762
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137763
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137764
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137765
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137766
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137767
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137768
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137769
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137770
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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