Displaying 132301-132310 of 1611142 results.
ID:
132301
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
132302
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132303
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132304
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132305
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132306
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132307
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132308
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132309
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132310
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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