Displaying 135161-135170 of 1611142 results.
ID:
135161
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1871467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135162
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135163
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135164
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135165
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135166
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135167
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135168
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135169
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135170
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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