Displaying 134061-134070 of 1611142 results.
ID:
134061
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134062
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134063
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134064
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134065
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134066
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134067
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134068
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134069
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134070
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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