Displaying 132681-132690 of 1611142 results.
ID:
132681
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132682
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132683
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132684
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132685
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132686
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132687
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
132688
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
132689
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
132690
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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