Displaying 134141-134150 of 1611142 results.
ID:
134141
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134142
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
134143
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134144
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134145
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134146
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134147
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134148
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134149
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134150
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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