Displaying 135061-135070 of 1611142 results.
ID:
135061
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135062
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135063
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135064
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135065
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135066
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135067
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135068
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135069
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135070
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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