Displaying 133641-133650 of 1611142 results.
ID:
133641
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133642
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133643
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133644
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133645
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133646
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133647
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133648
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133649
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133650
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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