Displaying 136921-136930 of 1611142 results.
ID:
136921
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136922
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136923
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136924
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136925
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136926
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136927
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136928
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136929
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136930
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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