Displaying 135931-135940 of 1611142 results.
ID:
135931
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135932
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135933
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135934
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135935
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135936
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135937
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135938
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135939
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135940
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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