Displaying 131641-131650 of 1611142 results.
ID:
131641
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131642
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131643
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131644
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131645
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131646
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131647
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131648
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131649
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131650
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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