Displaying 138941-138950 of 1611142 results.
ID:
138941
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138942
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138943
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138944
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138945
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138946
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138947
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138948
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138949
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138950
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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