Displaying 136421-136430 of 1611142 results.
ID:
136421
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136422
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136423
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136424
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
136425
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
136426
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136427
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
136428
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
136429
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
136430
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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