Displaying 132661-132670 of 1611142 results.
ID:
132661
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132662
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132663
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
132664
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132665
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132666
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132667
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132668
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132669
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132670
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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