Displaying 139721-139730 of 1611142 results.
ID:
139721
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139722
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139723
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139724
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139725
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139726
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139727
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139728
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139729
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139730
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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