Displaying 130181-130190 of 1611142 results.
ID:
130181
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130182
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130183
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130184
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130185
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130186
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130187
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130188
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130189
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130190
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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