Displaying 136021-136030 of 1611142 results.
ID:
136021
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136022
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136023
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136024
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136025
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136026
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136027
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136028
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136029
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136030
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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