Displaying 132311-132320 of 1611142 results.
ID:
132311
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132312
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132313
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132314
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132315
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132316
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132317
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132318
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132319
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132320
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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