Displaying 137911-137920 of 1611142 results.
ID:
137911
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137912
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137913
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137914
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137915
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137916
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137917
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137918
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137919
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137920
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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