Displaying 135271-135280 of 1611142 results.
ID:
135271
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135272
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135273
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135274
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135275
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135276
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135277
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135278
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
135279
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135280
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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