Displaying 132271-132280 of 1611142 results.
ID:
132271
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132272
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132273
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132274
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
132275
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132276
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132277
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132278
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132279
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132280
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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