Displaying 133951-133960 of 1611142 results.
ID:
133951
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133952
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133953
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133954
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133955
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133956
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133957
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133958
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133959
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133960
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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