Displaying 132341-132350 of 1611142 results.
ID:
132341
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132342
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132343
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132344
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132345
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132346
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132347
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132348
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132349
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132350
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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