Displaying 135131-135140 of 1611142 results.
ID:
135131
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135132
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135133
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135134
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135135
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135136
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135137
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135138
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135139
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135140
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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