Displaying 132541-132550 of 1611142 results.
ID:
132541
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132542
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132543
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
132544
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132545
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132546
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132547
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132548
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132549
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132550
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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