Displaying 134831-134840 of 1611142 results.
ID:
134831
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134832
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134833
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134834
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134835
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134836
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134837
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134838
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134839
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134840
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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