Displaying 132611-132620 of 1611142 results.
ID:
132611
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099323
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132612
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132613
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132614
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132615
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132616
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132617
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132618
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
132619
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
132620
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
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