Displaying 133611-133620 of 1611142 results.
ID:
133611
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
133612
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133613
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133614
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
133615
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
133616
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
133617
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
133618
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133619
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133620
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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