Displaying 139031-139040 of 1611142 results.
ID:
139031
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139032
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139033
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139034
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139035
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139036
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139037
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139038
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139039
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139040
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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