Displaying 131861-131870 of 1611142 results.
ID:
131861
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131862
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131863
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131864
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131865
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131866
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131867
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
131868
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131869
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131870
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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