Displaying 137831-137840 of 1611142 results.
ID:
137831
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137832
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137833
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137834
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137835
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137836
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137837
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137838
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
137839
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
137840
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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