Displaying 139201-139210 of 1611142 results.
ID:
139201
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139202
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139203
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139204
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139205
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139206
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139207
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139208
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139209
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139210
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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