Displaying 135101-135110 of 1611142 results.
ID:
135101
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
135102
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135103
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
135104
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
135105
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
135106
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
135107
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135108
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135109
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
135110
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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