Displaying 133961-133970 of 1611142 results.
ID:
133961
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
133962
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133963
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133964
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133965
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133966
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133967
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133968
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133969
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133970
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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