Displaying 133381-133390 of 1611142 results.
ID:
133381
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133382
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133383
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133384
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133385
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133386
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133387
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133388
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133389
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133390
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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