Displaying 131271-131280 of 1611142 results.
ID:
131271
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131272
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
131273
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
131274
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
131275
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131276
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
131277
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131278
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131279
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131280
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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