Displaying 138781-138790 of 1611142 results.
ID:
138781
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138782
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138783
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138784
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138785
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138786
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138787
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138788
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138789
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138790
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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