Displaying 138591-138600 of 1611142 results.
ID:
138591
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138592
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138593
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138594
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138595
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138596
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138597
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138598
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138599
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138600
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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