Displaying 135181-135190 of 1611142 results.
ID:
135181
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
135182
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
135183
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370982
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135184
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135185
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
135186
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135187
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135188
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135189
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135190
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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