Displaying 132081-132090 of 1611142 results.
ID:
132081
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132082
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132083
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132084
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132085
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132086
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132087
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132088
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132089
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
132090
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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