Displaying 134431-134440 of 1611142 results.
ID:
134431
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134432
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134433
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134434
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134435
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134436
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134437
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134438
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134439
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134440
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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