Displaying 132141-132150 of 1611142 results.
ID:
132141
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132142
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132143
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132144
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132145
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132146
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132147
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132148
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132149
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
132150
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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