Displaying 133351-133360 of 1611142 results.
ID:
133351
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
133352
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
133353
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133354
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133355
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133356
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133357
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133358
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133359
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133360
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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