Displaying 133331-133340 of 1611142 results.
ID:
133331
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133332
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133333
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133334
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
133335
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
133336
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133337
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213557
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133338
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133339
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133340
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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