Displaying 134551-134560 of 1611142 results.
ID:
134551
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134552
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134553
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134554
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134555
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134556
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134557
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134558
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134559
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134560
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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