Displaying 136961-136970 of 1611142 results.
ID:
136961
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136962
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136963
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136964
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136965
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136966
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136967
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136968
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136969
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136970
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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