Displaying 132841-132850 of 1611142 results.
ID:
132841
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132842
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132843
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132844
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132845
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132846
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132847
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132848
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132849
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132850
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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