Displaying 132331-132340 of 1611142 results.
ID:
132331
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132332
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132333
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132334
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132335
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132336
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132337
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132338
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132339
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132340
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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