Displaying 138881-138890 of 1611142 results.
ID:
138881
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138882
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138883
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138884
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138885
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138886
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138887
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138888
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138889
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138890
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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