Displaying 136431-136440 of 1611142 results.
ID:
136431
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136432
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136433
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136434
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
136435
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
136436
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
136437
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136438
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
136439
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136440
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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