Displaying 136211-136220 of 1611142 results.
ID:
136211
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
797061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136212
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
797065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136213
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
136214
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136215
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136216
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136217
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136218
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136219
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136220
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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