Displaying 136581-136590 of 1611142 results.
ID:
136581
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136582
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136583
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136584
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136585
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136586
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136587
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136588
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136589
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136590
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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