Displaying 133981-133990 of 1611142 results.
ID:
133981
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
133982
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
133983
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
133984
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133985
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
133986
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133987
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133988
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133989
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133990
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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