Displaying 133081-133090 of 1611142 results.
ID:
133081
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
133082
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
133083
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
133084
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133085
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
133086
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133087
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133088
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133089
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133090
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
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