Displaying 138451-138460 of 1611142 results.
ID:
138451
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
138452
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
138453
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138454
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138455
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138456
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138457
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138458
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138459
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138460
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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