Displaying 136741-136750 of 1611142 results.
ID:
136741
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
136742
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136743
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136744
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
136745
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136746
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136747
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136748
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136749
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
136750
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
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