Displaying 136661-136670 of 1611142 results.
ID:
136661
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136662
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136663
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
136664
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136665
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
136666
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136667
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136668
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136669
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
136670
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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