Displaying 138461-138470 of 1611142 results.
ID:
138461
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138462
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138463
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138464
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138465
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138466
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138467
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138468
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138469
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138470
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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