Displaying 133371-133380 of 1611142 results.
ID:
133371
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133372
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133373
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133374
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
133375
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133376
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133377
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133378
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133379
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133380
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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