Displaying 134261-134270 of 1611142 results.
ID:
134261
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134262
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134263
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134264
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134265
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134266
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134267
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1372999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134268
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134269
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134270
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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