Displaying 136471-136480 of 1611142 results.
ID:
136471
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136472
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136473
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136474
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136475
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136476
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136477
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136478
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136479
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136480
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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