Displaying 132771-132780 of 1611142 results.
ID:
132771
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
132772
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132773
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132774
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132775
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
132776
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
132777
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
132778
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132779
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132780
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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