Displaying 135831-135840 of 1611142 results.
ID:
135831
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135832
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135833
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135834
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135835
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135836
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135837
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135838
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135839
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
135840
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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