Displaying 136131-136140 of 1611142 results.
ID:
136131
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136132
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136133
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136134
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136135
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136136
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136137
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136138
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136139
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136140
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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