Displaying 136811-136820 of 1611142 results.
ID:
136811
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136812
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136813
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136814
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
136815
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136816
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136817
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136818
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136819
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136820
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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