Displaying 132371-132380 of 1611142 results.
ID:
132371
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132372
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132373
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132374
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132375
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132376
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132377
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132378
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132379
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132380
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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