Displaying 134161-134170 of 1611142 results.
ID:
134161
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134162
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134163
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134164
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134165
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134166
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134167
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134168
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134169
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134170
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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