Displaying 134021-134030 of 1611142 results.
ID:
134021
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
134022
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134023
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
134024
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
134025
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134026
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134027
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134028
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134029
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
134030
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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