Displaying 138761-138770 of 1611142 results.
ID:
138761
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138762
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
138763
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
138764
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
138765
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
138766
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138767
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138768
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
138769
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
138770
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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