Displaying 130961-130970 of 1611142 results.
ID:
130961
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130962
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130963
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130964
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130965
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130966
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130967
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130968
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130969
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130970
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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