Displaying 132621-132630 of 1611142 results.
ID:
132621
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
132622
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
132623
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
132624
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
132625
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
132626
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
132627
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
132628
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
132629
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
132630
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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