Displaying 138871-138880 of 1611142 results.
ID:
138871
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138872
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138873
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138874
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138875
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138876
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138877
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138878
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138879
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138880
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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