Displaying 133651-133660 of 1611142 results.
ID:
133651
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133652
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133653
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133654
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
133655
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133656
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133657
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133658
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133659
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133660
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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