Displaying 133431-133440 of 1611142 results.
ID:
133431
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
133432
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133433
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133434
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133435
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133436
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133437
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133438
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133439
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133440
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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