Displaying 135761-135770 of 1611142 results.
ID:
135761
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135762
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135763
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135764
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135765
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135766
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135767
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135768
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135769
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135770
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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