Displaying 135041-135050 of 1611142 results.
ID:
135041
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135042
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135043
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135044
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135045
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135046
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135047
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135048
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135049
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135050
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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