Displaying 136011-136020 of 1611142 results.
ID:
136011
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136012
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136013
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136014
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136015
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136016
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
136017
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136018
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
136019
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136020
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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