Displaying 132181-132190 of 1611142 results.
ID:
132181
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132182
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132183
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132184
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132185
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132186
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132187
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132188
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132189
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132190
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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