Displaying 136541-136550 of 1611142 results.
ID:
136541
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136542
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
136543
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136544
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136545
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136546
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136547
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
136548
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136549
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136550
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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