Displaying 133111-133120 of 1611142 results.
ID:
133111
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133112
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133113
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133114
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133115
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133116
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133117
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133118
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133119
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133120
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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