Displaying 133171-133180 of 1611142 results.
ID:
133171
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133172
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133173
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133174
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133175
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133176
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133177
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133178
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133179
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133180
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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