Displaying 134961-134970 of 1611142 results.
ID:
134961
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134962
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134963
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134964
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134965
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134966
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134967
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134968
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134969
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134970
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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