Displaying 133071-133080 of 1611142 results.
ID:
133071
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133072
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133073
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133074
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133075
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133076
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133077
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133078
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
133079
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133080
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
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