Displaying 138041-138050 of 1611142 results.
ID:
138041
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138042
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138043
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138044
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138045
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138046
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138047
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138048
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
138049
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
138050
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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