Displaying 136781-136790 of 1611142 results.
ID:
136781
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136782
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
110
Qty Limit Days:
30
ID:
136783
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136784
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136785
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136786
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136787
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136788
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136789
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136790
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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