Displaying 134941-134950 of 1611142 results.
ID:
134941
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
134942
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
134943
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134944
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134945
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134946
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134947
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134948
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
134949
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134950
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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