Displaying 135401-135410 of 1611142 results.
ID:
135401
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135402
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135403
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
135404
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135405
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135406
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135407
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135408
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135409
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135410
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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