Displaying 132071-132080 of 1611142 results.
ID:
132071
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132072
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132073
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132074
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132075
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132076
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132077
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132078
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132079
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132080
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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