Displaying 138561-138570 of 1611142 results.
ID:
138561
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138562
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138563
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138564
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138565
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138566
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138567
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138568
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138569
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138570
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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