Displaying 139001-139010 of 1611142 results.
ID:
139001
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966211
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139002
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966228
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139003
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966244
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139004
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139005
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139006
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966233
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139007
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139008
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139009
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139010
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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