Displaying 136461-136470 of 1611142 results.
ID:
136461
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136462
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136463
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136464
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
260285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136465
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136466
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136467
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136468
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136469
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136470
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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