Displaying 138621-138630 of 1611142 results.
ID:
138621
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138622
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138623
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138624
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138625
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138626
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138627
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138628
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138629
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138630
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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