Displaying 137231-137240 of 1611142 results.
ID:
137231
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137232
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137233
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137234
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137235
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137236
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137237
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137238
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137239
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137240
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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