Displaying 135111-135120 of 1611142 results.
ID:
135111
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
135112
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135113
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135114
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135115
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135116
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135117
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135118
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135119
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135120
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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