Displaying 133121-133130 of 1611142 results.
ID:
133121
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133122
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133123
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
110
Qty Limit Days:
30
ID:
133124
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133125
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133126
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133127
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133128
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133129
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133130
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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