Displaying 136271-136280 of 1611142 results.
ID:
136271
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
136272
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
136273
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
136274
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
136275
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
136276
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
136277
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
136278
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
136279
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
136280
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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