Displaying 133941-133950 of 1611142 results.
ID:
133941
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133942
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133943
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133944
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133945
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133946
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
133947
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133948
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133949
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
133950
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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