Displaying 134071-134080 of 1611142 results.
ID:
134071
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134072
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134073
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134074
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134075
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134076
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134077
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134078
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134079
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134080
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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