Displaying 133711-133720 of 1611142 results.
ID:
133711
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133712
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133713
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133714
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133715
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
133716
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133717
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133718
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133719
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133720
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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