Displaying 134341-134350 of 1611142 results.
ID:
134341
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134342
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134343
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134344
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134345
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134346
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134347
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134348
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134349
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134350
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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