Displaying 133661-133670 of 1611142 results.
ID:
133661
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133662
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133663
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133664
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133665
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133666
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133667
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133668
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133669
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133670
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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