Displaying 138831-138840 of 1611142 results.
ID:
138831
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138832
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138833
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138834
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138835
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138836
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138837
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138838
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
138839
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
138840
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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