Displaying 137211-137220 of 1611142 results.
ID:
137211
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137212
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137213
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137214
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137215
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137216
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137217
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137218
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137219
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
137220
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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