Displaying 135121-135130 of 1611142 results.
ID:
135121
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135122
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135123
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135124
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135125
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135126
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135127
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135128
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135129
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135130
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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