Displaying 135741-135750 of 1611142 results.
ID:
135741
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135742
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135743
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135744
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135745
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135746
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135747
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135748
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135749
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135750
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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