Displaying 136841-136850 of 1611142 results.
ID:
136841
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136842
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136843
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136844
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136845
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
136846
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
136847
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136848
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136849
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136850
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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