Displaying 132281-132290 of 1611142 results.
ID:
132281
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132282
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132283
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132284
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132285
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132286
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132287
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132288
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132289
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132290
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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