Displaying 138931-138940 of 1611142 results.
ID:
138931
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138932
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138933
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138934
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138935
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138936
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138937
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
138938
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138939
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138940
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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