Displaying 135611-135620 of 1611142 results.
ID:
135611
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135612
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135613
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135614
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135615
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135616
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135617
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135618
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135619
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135620
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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