Displaying 136151-136160 of 1611142 results.
ID:
136151
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136152
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
136153
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136154
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136155
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136156
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136157
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136158
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
136159
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136160
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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