Displaying 134231-134240 of 1611142 results.
ID:
134231
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134232
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134233
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134234
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134235
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134236
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134237
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134238
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
134239
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
134240
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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