Displaying 138721-138730 of 1611142 results.
ID:
138721
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138722
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138723
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138724
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138725
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138726
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138727
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138728
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138729
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138730
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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