Displaying 133481-133490 of 1611142 results.
ID:
133481
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133482
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133483
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133484
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133485
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133486
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133487
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133488
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133489
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133490
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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