Displaying 133531-133540 of 1611142 results.
ID:
133531
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133532
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133533
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133534
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133535
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133536
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133537
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133538
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133539
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133540
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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