Displaying 133781-133790 of 1611142 results.
ID:
133781
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133782
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133783
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133784
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133785
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133786
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
133787
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133788
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133789
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133790
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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