Displaying 135231-135240 of 1611142 results.
ID:
135231
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135232
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135233
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135234
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135235
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135236
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135237
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135238
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135239
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135240
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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