Displaying 136631-136640 of 1611142 results.
ID:
136631
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136632
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136633
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136634
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136635
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136636
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136637
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136638
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136639
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136640
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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