Displaying 135631-135640 of 1611142 results.
ID:
135631
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135632
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135633
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135634
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135635
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
135636
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135637
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135638
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135639
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135640
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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