Displaying 138311-138320 of 1611142 results.
ID:
138311
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138312
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138313
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138314
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138315
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138316
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138317
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138318
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138319
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138320
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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