Displaying 138811-138820 of 1611142 results.
ID:
138811
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138812
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138813
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138814
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138815
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871465
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138816
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138817
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138818
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138819
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871469
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138820
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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