Displaying 132171-132180 of 1611142 results.
ID:
132171
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132172
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132173
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132174
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132175
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132176
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132177
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132178
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132179
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132180
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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