Displaying 135751-135760 of 1611142 results.
ID:
135751
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135752
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135753
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135754
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135755
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135756
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135757
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135758
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135759
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135760
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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