Displaying 138161-138170 of 1611142 results.
ID:
138161
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138162
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138163
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138164
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138165
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138166
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138167
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138168
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138169
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138170
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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