Displaying 138151-138160 of 1611142 results.
ID:
138151
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138152
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138153
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138154
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138155
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138156
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138157
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138158
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
138159
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138160
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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