Displaying 136971-136980 of 1611142 results.
ID:
136971
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136972
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136973
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136974
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136975
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136976
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136977
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136978
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
136979
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
136980
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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