Displaying 136351-136360 of 1611142 results.
ID:
136351
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136352
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
136353
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136354
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136355
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136356
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136357
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136358
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136359
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136360
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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