Displaying 136051-136060 of 1611142 results.
ID:
136051
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136052
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136053
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136054
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136055
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136056
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136057
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136058
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136059
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136060
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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