Displaying 138581-138590 of 1611142 results.
ID:
138581
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138582
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138583
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138584
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138585
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138586
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138587
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138588
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138589
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138590
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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