Displaying 132391-132400 of 1611142 results.
ID:
132391
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132392
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132393
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132394
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132395
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132396
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132397
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132398
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
132399
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132400
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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