Displaying 137241-137250 of 1611142 results.
ID:
137241
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137242
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137243
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137244
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137245
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137246
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137247
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137248
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
137249
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137250
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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