Displaying 133341-133350 of 1611142 results.
ID:
133341
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133342
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133343
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133344
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133345
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133346
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133347
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133348
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133349
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133350
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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