Displaying 136831-136840 of 1611142 results.
ID:
136831
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136832
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136833
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136834
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136835
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136836
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136837
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136838
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136839
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136840
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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