Displaying 136621-136630 of 1611142 results.
ID:
136621
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136622
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136623
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136624
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136625
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136626
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136627
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136628
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136629
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136630
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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