Displaying 131981-131990 of 1611142 results.
ID:
131981
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131982
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131983
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131984
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131985
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131986
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
131987
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
131988
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
131989
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131990
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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