Displaying 138171-138180 of 1611142 results.
ID:
138171
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138172
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138173
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138174
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138175
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138176
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138177
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138178
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
138179
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138180
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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