Displaying 139241-139250 of 1611142 results.
ID:
139241
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139242
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139243
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139244
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139245
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139246
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139247
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139248
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139249
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139250
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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