Displaying 134331-134340 of 1611142 results.
ID:
134331
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134332
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134333
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134334
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134335
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134336
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134337
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134338
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
134339
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
134340
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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