Displaying 132461-132470 of 1611142 results.
ID:
132461
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132462
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132463
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132464
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132465
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132466
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
132467
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132468
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132469
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132470
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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