Displaying 137261-137270 of 1611142 results.
ID:
137261
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137262
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137263
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137264
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137265
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
137266
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
137267
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
137268
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
137269
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
137270
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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