Displaying 136531-136540 of 1611142 results.
ID:
136531
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136532
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136533
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136534
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136535
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136536
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136537
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136538
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
136539
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
ID:
136540
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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