Displaying 135711-135720 of 1611142 results.
ID:
135711
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135712
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135713
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135714
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135715
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135716
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135717
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135718
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135719
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
135720
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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