Displaying 132201-132210 of 1611142 results.
ID:
132201
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132202
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132203
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132204
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132205
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132206
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132207
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
132208
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
132209
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132210
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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