Displaying 132351-132360 of 1611142 results.
ID:
132351
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132352
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132353
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132354
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132355
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132356
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132357
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132358
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132359
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132360
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
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