Displaying 132451-132460 of 1611142 results.
ID:
132451
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132452
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132453
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132454
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132455
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132456
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132457
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132458
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132459
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132460
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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