Displaying 138571-138580 of 1611142 results.
ID:
138571
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138572
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138573
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
138574
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138575
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138576
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138577
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138578
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138579
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138580
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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