Displaying 135911-135920 of 1611142 results.
ID:
135911
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135912
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135913
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135914
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135915
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135916
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135917
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135918
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135919
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135920
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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