Displaying 132411-132420 of 1611142 results.
ID:
132411
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132412
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
132413
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132414
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
132415
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132416
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132417
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132418
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132419
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132420
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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