Displaying 132851-132860 of 1611142 results.
ID:
132851
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132852
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132853
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
132854
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132855
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132856
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132857
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132858
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132859
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132860
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
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