Displaying 138321-138330 of 1611142 results.
ID:
138321
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138322
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138323
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138324
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138325
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138326
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138327
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138328
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138329
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138330
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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