Displaying 136551-136560 of 1611142 results.
ID:
136551
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136552
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136553
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136554
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136555
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136556
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136557
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
136558
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
ID:
136559
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
136560
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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