Displaying 133571-133580 of 1611142 results.
ID:
133571
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133572
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133573
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133574
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133575
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133576
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133577
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133578
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133579
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133580
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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