Displaying 132121-132130 of 1611142 results.
ID:
132121
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132122
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
132123
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
132124
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132125
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132126
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132127
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132128
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132129
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132130
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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