Displaying 136891-136900 of 1611142 results.
ID:
136891
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
136892
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136893
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136894
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136895
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136896
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136897
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136898
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136899
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136900
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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