Displaying 132781-132790 of 1611142 results.
ID:
132781
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132782
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132783
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
206417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132784
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132785
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132786
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132787
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132788
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132789
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132790
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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