Displaying 133291-133300 of 1611142 results.
ID:
133291
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
133292
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
133293
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
133294
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
133295
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133296
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133297
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133298
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133299
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133300
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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