Displaying 133731-133740 of 1611142 results.
ID:
133731
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133732
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133733
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133734
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133735
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133736
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133737
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133738
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133739
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133740
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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