Displaying 137991-138000 of 1611142 results.
ID:
137991
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137992
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137993
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137994
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137995
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137996
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137997
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
137998
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
137999
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138000
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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