Displaying 135171-135180 of 1611142 results.
ID:
135171
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135172
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135173
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135174
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135175
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135176
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135177
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135178
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135179
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
135180
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
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