Displaying 138431-138440 of 1611142 results.
ID:
138431
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138432
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138433
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138434
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138435
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138436
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138437
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138438
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138439
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138440
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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