Displaying 133091-133100 of 1611142 results.
ID:
133091
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
133092
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133093
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133094
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133095
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
133096
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
133097
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133098
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133099
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133100
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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