Displaying 136031-136040 of 1611142 results.
ID:
136031
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136032
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136033
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136034
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136035
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136036
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136037
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136038
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136039
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136040
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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