Displaying 132471-132480 of 1611142 results.
ID:
132471
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
132472
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132473
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
132474
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
132475
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
132476
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132477
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132478
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132479
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132480
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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