Displaying 134451-134460 of 1611142 results.
ID:
134451
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134452
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134453
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134454
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134455
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134456
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134457
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134458
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134459
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134460
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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