Displaying 132401-132410 of 1611142 results.
ID:
132401
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132402
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132403
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132404
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132405
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132406
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132407
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132408
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132409
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132410
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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