Displaying 136991-137000 of 1611142 results.
ID:
136991
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136992
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136993
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
136994
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
136995
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136996
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213557
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136997
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136998
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136999
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137000
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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