Displaying 130561-130570 of 1611142 results.
ID:
130561
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130562
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130563
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130564
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130565
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130566
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
130567
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130568
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130569
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130570
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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