Displaying 137971-137980 of 1611142 results.
ID:
137971
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137972
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137973
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137974
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137975
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137976
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137977
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137978
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137979
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137980
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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