Displaying 132161-132170 of 1611142 results.
ID:
132161
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132162
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132163
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132164
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132165
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132166
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132167
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132168
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132169
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132170
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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