Displaying 137191-137200 of 1611142 results.
ID:
137191
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137192
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137193
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137194
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137195
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
137196
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
137197
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
137198
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137199
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137200
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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