Displaying 133991-134000 of 1611142 results.
ID:
133991
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133992
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133993
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133994
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133995
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133996
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
133997
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133998
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133999
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134000
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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