Displaying 136341-136350 of 1611142 results.
ID:
136341
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136342
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136343
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136344
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
967021
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136345
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1248442
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136346
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136347
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136348
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
136349
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136350
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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