Displaying 134091-134100 of 1611142 results.
ID:
134091
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134092
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134093
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134094
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134095
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134096
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134097
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134098
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134099
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134100
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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