Displaying 137641-137650 of 1611142 results.
ID:
137641
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
137642
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
137643
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137644
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
137645
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137646
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137647
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137648
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137649
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137650
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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