Displaying 137581-137590 of 1611142 results.
ID:
137581
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
137582
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137583
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137584
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137585
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137586
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137587
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137588
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137589
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137590
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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