Displaying 132221-132230 of 1611142 results.
ID:
132221
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132222
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132223
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132224
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132225
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132226
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132227
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132228
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132229
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132230
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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