Displaying 134171-134180 of 1611142 results.
ID:
134171
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134172
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134173
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134174
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134175
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134176
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134177
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134178
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134179
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
134180
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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