Displaying 135731-135740 of 1611142 results.
ID:
135731
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135732
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135733
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135734
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135735
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135736
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135737
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135738
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135739
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135740
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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