Displaying 133421-133430 of 1611142 results.
ID:
133421
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
133422
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133423
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133424
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133425
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133426
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133427
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133428
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133429
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
133430
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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