Displaying 134881-134890 of 1611142 results.
ID:
134881
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134882
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134883
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
134884
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
134885
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
134886
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134887
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134888
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134889
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134890
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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