Displaying 139021-139030 of 1611142 results.
ID:
139021
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139022
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139023
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139024
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139025
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139026
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139027
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139028
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139029
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139030
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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