Displaying 133021-133030 of 1611142 results.
ID:
133021
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133022
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133023
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133024
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133025
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133026
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133027
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133028
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133029
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133030
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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