Displaying 138211-138220 of 1611142 results.
ID:
138211
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138212
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138213
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138214
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138215
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138216
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138217
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138218
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138219
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138220
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
780
Qty Limit Days:
30
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