Displaying 138521-138530 of 1611142 results.
ID:
138521
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138522
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138523
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138524
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138525
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138526
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138527
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138528
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138529
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138530
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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