Displaying 137671-137680 of 1611142 results.
ID:
137671
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137672
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137673
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137674
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137675
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137676
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137677
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137678
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137679
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137680
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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