Displaying 132981-132990 of 1611142 results.
ID:
132981
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132982
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132983
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132984
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132985
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132986
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132987
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132988
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132989
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132990
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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