Displaying 138141-138150 of 1611142 results.
ID:
138141
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138142
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138143
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138144
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138145
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138146
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138147
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138148
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138149
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138150
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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