Displaying 138551-138560 of 1611142 results.
ID:
138551
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138552
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138553
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138554
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138555
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138556
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138557
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138558
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138559
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138560
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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