Displaying 137131-137140 of 1611142 results.
ID:
137131
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
137132
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137133
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137134
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137135
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
137136
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137137
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137138
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137139
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137140
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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