Displaying 138181-138190 of 1611142 results.
ID:
138181
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138182
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138183
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138184
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138185
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138186
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138187
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138188
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138189
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138190
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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