Displaying 134591-134600 of 1611142 results.
ID:
134591
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134592
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134593
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134594
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134595
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134596
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
134597
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134598
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134599
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134600
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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