Displaying 135351-135360 of 1611142 results.
ID:
135351
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135352
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135353
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135354
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
135355
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
135356
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
135357
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135358
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135359
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135360
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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