Displaying 132061-132070 of 1611142 results.
ID:
132061
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
132062
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
132063
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132064
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132065
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132066
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132067
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132068
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132069
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
132070
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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