Displaying 132511-132520 of 1611142 results.
ID:
132511
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132512
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132513
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132514
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132515
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132516
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132517
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132518
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132519
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132520
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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