Displaying 136321-136330 of 1611142 results.
ID:
136321
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136322
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136323
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136324
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136325
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136326
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136327
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136328
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136329
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136330
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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