Displaying 132361-132370 of 1611142 results.
ID:
132361
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132362
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132363
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132364
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132365
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132366
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132367
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
132368
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132369
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132370
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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