Displaying 137951-137960 of 1611142 results.
ID:
137951
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137952
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137953
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137954
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137955
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137956
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137957
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137958
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137959
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137960
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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