Displaying 135721-135730 of 1611142 results.
ID:
135721
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135722
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135723
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135724
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135725
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135726
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135727
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
135728
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135729
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135730
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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