Displaying 137311-137320 of 1611142 results.
ID:
137311
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137312
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137313
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
137314
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137315
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137316
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137317
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137318
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137319
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137320
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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