Displaying 133031-133040 of 1611142 results.
ID:
133031
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133032
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133033
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133034
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133035
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133036
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133037
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133038
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133039
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
133040
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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