Displaying 133861-133870 of 1611142 results.
ID:
133861
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133862
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133863
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133864
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133865
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133866
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133867
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133868
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133869
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133870
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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