Displaying 138791-138800 of 1611142 results.
ID:
138791
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138792
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138793
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138794
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138795
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138796
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138797
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138798
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138799
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138800
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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