Displaying 137981-137990 of 1611142 results.
ID:
137981
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137982
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137983
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137984
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137985
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137986
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137987
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137988
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137989
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137990
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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