Displaying 138531-138540 of 1611142 results.
ID:
138531
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138532
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138533
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138534
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138535
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138536
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138537
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138538
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138539
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138540
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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