Displaying 134131-134140 of 1611142 results.
ID:
134131
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134132
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134133
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134134
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134135
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134136
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134137
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134138
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134139
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134140
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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